More than 700 people have been poisoned after eating wild mushrooms in Iran, the country’s emergency services said. At least 9 people have so far died while dozens remain in critical condition, local media report.

“The latest emergency statistics show that 721 people have been poisoned by poisonous mushrooms, of which 190 were hospitalized, 523 were cleared, and nine died,” Mojtaba Khalidi, an emergency services spokesman, told Iranian ISNA news agency.

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At least 50 of the victims who were hospitalized across Iran’s eight provinces are in critical condition, with some requiring liver transplants to save their lives, emergency services said.

The country’s Ministry of Health attributed the outbreak to spring rain across the mountainous regions of the country and issued a warning advising people to “avoid eating wild and unfamiliar mushrooms,” and refrain from even touching them because “skin toxicity is present in some species of fungi.”

Authorities advised the public not to buy mushrooms from street vendors. Those who experience abdominal pain, nausea, vomiting, or severe dizziness, are advised to drink a lot of fluids and visit a health center immediately.